CMT Advanced Evaluation - Recessive, Demyelinating

Test Code
92380


CPT Codes
<br /> *** RESTRICTED USE *** This code is available for Client #54840, 55738, 56176, 54279, 51618, 51921, 57748, 55851, 53814 and 54329 ONLY.

Includes
CMT Advanced Evaluation - Recessive, Demyelinating
PRX DNA Sequencing Test
GDAP1 DNA Sequencing Test
SH3TC2 DNA Sequencing Test
MTMR2 DNA Sequencing
SBF2 DNA Sequencing Test
NDRG1 DNA Sequencing Test
FGD4 DNA Sequencing Test
FIG4 (CMT) DNA Sequencing Test


Preferred Specimen
8 mL whole blood collected in an EDTA (lavender-top) tube
Pediatric (0-3 Years): 2 mL


Minimum Volume
6 mL • Pediatric: 1 mL


Instructions
Physician Attestation of Informed Consent - This germline genetic test requires physician attestation that patient consent has been received. Please label each specimen tube with two forms of patient identification. These forms of identification must also appear on the requisition form.


Transport Temperature
Room temperature


Specimen Stability
Room temperature: 10 days
Refrigerated: 10 days
Frozen: Unacceptable


Methodology
Next Generation Sequencing

Setup Schedule
Report available: 21-28 days




The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.